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Organization
MARSHALL RETIREMENT CENTER
Active
Organization
MARSHALL RETIREMENT CENTER
Active
Other names
Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLLIE BOGGS MARSHALL OWNER (OWNER/MANAGER)
(912) 449-1380
Entity
Organization
Contact information
Practice address
619 ALLEN AVENUE, BLACKSHEAR, GA 31516
(912) 449-1380
(912) 449-1380
Mailing address
P.O.B. 650, BLACKSHEAR, GA 31516
(912) 449-1380
(912) 449-1380
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
GA
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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